Organization
RIVERSIDE PRIMARY CARE DOCTORS-INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADY FAYAD MD (CEO/OWNER)
(951) 224-6000
Entity
Organization
Contact information
Practice address
9041 MAGNOLIA AVE STE 6, RIVERSIDE, CA 92503-3941
(951) 224-6000
(951) 228-0206
Mailing address
9041 MAGNOLIA AVE STE 6, RIVERSIDE, CA 92503-3941
(951) 224-6000
(951) 228-0206
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C172881
CA
CA
Enumeration date
09/22/2022
Last updated
09/22/2022
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